Johannah Kathryn Merrill, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

281944 Issued in MA

Practice address

1 General St
Lawrence, MA 01841-2997

Phone

(434) 981-9742

NPI assigned

Apr 19, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH, CT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281

  Emergency Medicine, MA

  Medicare reassignment NPD
• Emergency Medicine Physicians of Rockingham County, LLC

  • Emergency Medicine Physician
  • Exeter, NH
  • NPI 1174956668

  Emergency Medicine, NH

  Medicare reassignment NPD
• Emergency Medicine Services of NH, LLC

  • Emergency Medicine Physician
  • Derry, NH
  • NPI 1386341444

  Emergency Medicine, NH

  Medicare reassignment NPD
• Usacs of Connecticut, LLC

  • Emergency Medicine Physician
  • Bristol, CT
  • NPI 1285713099

  CT, Emergency Medicine

  Medicare reassignment NPD
• Lawrence General Hospital

  • Allergy & Immunology Physician
  • Lawrence, MA
  • NPI 1881272102
  NPD
• Lawrence General Hospital

  • Mammography Clinic/Center
  • Methuen, MA
  • NPI 1922514744
  NPD

Merit-based Incentive Payment System (MIPS)

Final score

71.7 of 100Reported as group

Quality

64.24

Improvement activities

40

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1386098093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EXECUTIVE DR UNIT 414",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021800032",
            "telephone_number": "434-981-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "434-981-9742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "984-974-7833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Manning Dr # 7594",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144221",
            "country_code": "US",
            "telephone_number": "919-966-6442",
            "fax_number": "919-966-3049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave Box 655",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-463-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "JOHANNAH",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2019-00453",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MA",
            "license": "281944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayelin Mercado-Olivares
• Ana Delia Mercado
• Magaly Mercedes
• Vanessa Judith Mercedes
• Lindsey Mercer, M.S, OTR/L
• Merrimack Medical & Walk in Center, LLC
• Merrimack Medical & Walk in S LLC
• Merrimack Valley ABA Services Inc
• Merrimack Valley Health Services Inc
• Merrimack Valley Orthodontics LLC

• All providers in Lawrence, MA
• Emergency Medical Services (Emergency Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.